Hazards and Exposures Associated with DDT

Hazards and Exposures Associated with DDT

and Synthetic Pyrethroids used for Vector Control

World Wildlife Fund

January 1999
ACKNOWLEDGMENTS

WWF appreciates the contributions and critical comments of the many experts who created and reviewed this report. Primary authors are Dr. Michael Smolen, WWF US; Dr. Susan Sang, WWF Canada; and, Dr. Richard Liroff, WWF US. Additional contributions came from Dr. Donald Mackay and his coauthors on the exposure model; Dr. Lizbeth Lopez-Carillo, Intituto Nacional de Salud Publica; and, Yvonne Martin Portugues-Santacreu. Special thanks are also due to Dr. Polly Hoppin for initiating this project while at WWF US. The editorial assistance of Stephen Leahy and Julia Langer is also acknowledged.

WWF would also like to thank the North American Commission for Environmental Cooperation and The J.W. McConnell Family Foundation (Canada) for their generous funding for this project and WWF’s work to conserve biological diversity.

Hazards and Exposures Associated with DDT and Synthetic Pyrethroids used in Vector Control is part of WWF’s project to gain a legally-binding agreement on Persistent Organic Pollutants (POPs). The exploration of DDT use in malaria control is aimed at documenting not only the hazards and exposures to humans and wildlife but also alternatives that protect both biodiversity and human health. WWF’s ultimate goal in this area is to have DDT banned globally.

Front cover photo credits: Peregrine falcon: US Fish and Wildlife Service; Mother and child from Manang District in Nepal: Galen Rowell

Other related publications:

Resolving the DDT Dilemma: Protecting Biodiversity and Human Health

WWF Canada and WWF US

June 1998

52 pages

Available in Spanish and English

Also available on-line at

A Model and Assessment of the Fate and Exposure of DDT Following Indoor Application

Katie Feltmate

April 1998

125 pages

Disease Vector Management for Public Health and Conservation

Dr. Patricia Matteson et al.

In Press

Approx. 200 pages

All publications available for $10 each (Cdn. or US) from:

WWF Canada

245 Eglinton Ave. East, Suite 410

Toronto, ON, M4P 3B7

WWF US

1250 24th Street NW

Washington, DC, 20037-1175

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EXECUTIVE SUMMARY

This report summarizes the current state of knowledge regarding the health and environmental effects of DDT and synthetic pyrethroids. Currently, DDT’s only official use, as specified by the World Health Organization (WHO), is for the control of disease vectors in indoor house spraying – although other (illegal) uses are suspected. Synthetic pyrethroids are increasing in popularity among managers of vector control programs as alternatives to DDT, either for indoor spraying or for impregnating bednets.

Much of the traditional debate over DDT and DDT-alternatives has focused on effects such as cancer (carcinogenicity), impacts on reproduction, and gross birth defects. Traditional toxicological testing has attempted to discern these effects through tests that rely on using high doses of chemicals. This report takes a broader view. In addition to looking at these traditional effects, it examines current knowledge about the effects of DDT and synthetic pyrethroids on the endocrine, nervous, and immune systems and behavior, and it emphasizes potential hazards from low doses of chemicals.

Concentrations in humans of DDT and its breakdown product, DDE, are clear barometers of exposure. Although DDT levels are decreasing in parts of the world, there are populations of people and wildlife that experience concentrations of DDT and DDE above critical levels. For instance, investigations in Mexico and South Africa reveal that human breast milk contains DDE at concentrations that exceed the guidelines for the acceptable daily intake by infants set by the WHO. Moreover, studies have shown that the length of lactation (milk production) decreases with higher DDE body burdens in human mothers, thus depriving infants of benefits provided by breast feeding. In addition, DDE concentrations in some bird species are still high enough to cause reproductive failure.

The largest remaining legal use of DDT is for control of disease vectors. Although DDT is used for interior spraying of households, a WWF-commissioned mass balance model shows that most of it ultimately ends up outdoors where it joins the pool of DDT in general circulation. Significant human exposure occurs from the DDT applied indoors which ends up in food. Infants and those responsible for house cleaning are particularly exposed to residues on floors and walls.

Concern about DDT has generally been derived from its reproductive toxicity in animals, as demonstrated by eggshell thinning. The mechanisms by which DDT (DDE) causes eggshell thinning are associated with the inhibition of prostaglandin synthesis, an important initial step in shell creation. The result—extremely thin eggshells that crack in nests—has brought several species to the brink of extinction. DDT’s estrogenic and/or anti-androgenic properties can contribute to feminization or demasculinization, resulting in altered behaviour, reduced fertility, and birth defects. Other developmental effects may involve incomplete urogenital development and undescended testicles arising from the prenatal disruption of testosterone.

The biological processes controlled by the endocrine system—including the immune, nervous, and reproductive systems—are common to all animals. As such, the adverse health impacts identified in wildlife and laboratory animals from exposure to DDT and other classes of pesticides serve as indicators of potential hazards to humans.

Synthetic pyrethroids and DDT have been associated with irreversible effects on the developing nervous system. Specifically, DDT and some synthetic pyrethroids alter the proportions of neuroreceptors in the developing brain of neonates, leading to hypersensitivity and behavioural abnormalities.

They can also reduce the efficiency of neural signal transmission.

By interfering with the endocrine system, specifically lymphocyte function, humoral response, and thymus weight, DDT and synthetic pyrethroids contribute to suppression of immune responses. Symptoms of decreased immune competency include, among others, changes in antibody production and the time it takes to respond to infections. These raise concerns about the vulnerability of certain portions of the population, such as the elderly and the very young.

WWF recommends the following directions for future research on endocrine-disrupting chemicals such as DDT and synthetic pyrethroids:

Low-Dose Testing: WWF recommends that traditional government-mandated tests of chemicals, which historically have focused on administering high doses of chemicals, usually to adult animals, must be revised to take account of the hazards associated with the exposure of fetuses and embryos to extremely low doses of chemicals that disrupt the hormonal systems of the body. Organisms frequently are exposed chronically to such doses in the environment.

Transgenerational Effects: Only recently have attempts been made to assess more insidious and often overlooked efforts related to pesticide exposure. Mushrooming scientific understanding of the influence of hormonal (endocrine) systems on the development and health of humans and wildlife indicates that future consideration of DDT/DDT-alternatives must be broadened to address very significant effects whose causes are harder to discern. The impacts of chemicals on developing nervous systems, immune systems, and behavior must be taken into account with special attention given to exposure in the womb.

Synthetic Pyrethroids: The existing literature on use of synthetic pyrethroids for impregnating bednets and spraying houses fails to mention possible trans-generational consequences of chronic human exposures. Laboratory studies describing such possible hazards are summarized in this paper. WWF urges pesticide manufacturers and public agencies to conduct collaborative research to analyze the possible hazards from chronic human exposure to synthetic pyrethroids.

In addressing DDT and pesticides which may be proposed as alternatives to it, WWF urges application of the “precautionary principle” that already forms the basis of a growing number of international treaties and agreements. According to the “precautionary principle,” when substantial scientific evidence suggests good reason to believe that an activity, technology, or substance may be harmful, action should be taken to prevent harm. In other words, if an activity raises credible threats of harm to the environment or human health, precautionary measures should be taken even if cause and effect relationships have not yet been fully established scientifically.

The scientific findings summarized here provide support for WWF’s view that DDT should be characterized by the WHO and international assistance agencies as a “pesticide of last resort,” to be used only when no other vector control methods (including other pesticides) are available and likely to be effective. WHO and other organizations should take this step based on the additional evidence about the human and biodiversity impacts of DDT that has been gathered since the last major consideration of this issue by WHO’s scientific experts in 1993.

This change in WHO’s characterization should be an interim step en route to a global ban on production and use of DDT no later than 2007, under the auspices of the global treaty on POPs (persistent organic pollutants) that is now being negotiated (with mid-to-late 2000 as the targeted completion date). The 2007 deadline coincides with Mexico’s commitment, pursuant to the North American Regional Action Plan for DDT, to end its use. Mexico is one of the world’s few producers of DDT; if Mexico is willing to make such a commitment, other nations should also be willing and able to do so.

WWF’s initial report on DDT, “Resolving the DDT Dilemma: Protecting Biodiversity and Human Health,” published in June 1998, brings together in summary form the new information on the impacts of DDT and other pesticides used for vector control contained in this report, and six case studies of successful vector control projects which do not rely on DDT. This information provides the rationale for moving away from DDT and other pesticide-dependent malaria programs toward “bio-reliant” vector management techniques. That report and the complete texts of the case studies (to be published as “Disease Vector Management for Public Health and Conservation” in early 1999) are available from WWF.

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TABLE OF CONTENTS

PART I – DDT AND OTHER CHEMICALS USED IN VECTOR

MANAGEMENT PROGRAMS...... 1

A Brief History...... 1

Insecticides Currently in Use...... 1

Chemical Properties...... 5

Persistence and Transport Characteristics...... 5

DDT in the Arctic Food Web...... 5

Bioaccumulation in Organisms...... 6

The Role of the World Health Organization...... 9

PART II – HEALTH AND ENVIRONMENTAL EFFECTS...... 10

Introduction...... 10

Acute and Chronic Toxicological Effects...... 16

Reproductive Effects...... 18

Effects on the Nervous System...... 22

Effects on the Immune System...... 24

DDT and Cancer...... 31

Summary...... 32

PART III – EXPOSURE AND ITS IMPLICATIONS...... 33

Levels of DDT in Humans...... 33

Levels of DDT and Effects in other Species...... 34

Routes of Exposure...... 35

Synthetic Pyrethroids...... 38

Interpretation of Human Exposure Data...... 38

PART IV – RECOMMENDATIONS FOR RESEARCH...... 38

Low-Dose Testing...... 39

Testing for Transgenerational Effects...... 39

Assessment of Synthetic Pyrethroid Exposure to Children

and the Developing Fetus from Bednets...... 40

In Closing – The Precautionary Principle...... 40

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I. DDT AND OTHER CHEMICALS USED IN VECTOR MANAGEMENT PROGRAMS

A Brief History

DDT (dichlorodiphenyltrichloroethane) is an organochlorine insecticide used mainly to control mosquito-borne malaria. DDT’s insecticidal properties were discovered in the 1930s by Swiss chemist Paul Müller. Considered harmless to mammals this odorless, tasteless, white crystalline chemical was used during the Second World War for crop protection as well as protection of troops from malaria and typhus. DDT’s characteristics of insolubility in water, persistence, long half-life of 10-35 years and high-contact toxicity made it appear to be the ideal insecticide. As a consequence, Müller was awarded the Nobel Prize in 1948. Only a few years later, Swiss scientists confirmed the connection between unborn and functionally-impaired calves whose mothers had been grazing on pastures that had been sprayed with DDT. Previously, U.S. agricultural researchers had linked similar severe impairments in calves whose mothers had been eating feed salted with DDT for pest control (IEM on POPs, Annex II). Still others had found that young roosters treated with DDT had severely underdeveloped testes and failed to grow the normal combs and wattles roosters use for social display (Colborn et al., 1996).

Regardless of these effects, DDT’s efficacy and low-production costs made it the most widely used agricultural insecticide in the world from 1946 to 1972. Total world production of DDT during this period has been estimated from 2.8 million tonnes to more than 3 million tonnes (IEM on POPs, Annex II).

The effects of DDT on wildlife reproduction and its residues appearing in food products that had been sprayed with DDT became evident in the 1960s. Long term studies showed that DDT was found at alarming levels in many animal species including fish, birds, and mammals. Many birds such as peregrine falcons, California condors, and bald eagles with high levels of DDT in their bodies began producing weak eggshells, which were crushed upon incubation. The result was a decline in the bird populations and a threat to their very existence. These findings led to DDT use restrictions and bans in the U.S., Canada, and most European countries in the early 1970s. DDT is now banned in 34 countries and severely restricted in 34 (IEM on POPs, Annex II).

Insecticides Currently in Use

The World Health Organization (WHO) approves use of DDT in controlling malaria, provided several conditions are met, including limiting its use to indoor spraying, taking appropriate safety precautions, and using materials that meet WHO specifications. Four major groups of insecticides are available for indoor spraying: organochlorine chemicals (DDT), organophosphates, carbamates, and the synthetic pyrethroids (Table I-1). The undesirable effects of DDT are widely known; they have driven the restrictions on DDT that have occurred to date and are responsible for DDT being targeted in international POPs negotiations. The organophosphates and carbamates are acutely toxic to humans, and pose a high hazard in particular to those who work with them (Herath, 1995). The synthetic pyrethroids are not as toxic as the carbamates or organophosphates, and are widely used as an alternative to DDT or used to impregnate bednets. Because most reports of wide-scale applications of pesticides for vector control involve DDT or the synthetic pyrethroids, the discussion that follows focuses mainly on these pesticides.

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Table I-1: Toxicity of Vector Control Insecticides

Table I-1 Continued

Table I-1 Continued